الفهرس 
FETAL MACROSOMIAOnly 14 pages are availabe for public view
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Abstract
The present study was conducted during the period
between July 2011 to July 2012 at Ain Shams University
Maternity Hospital (Special Care Unit for Fetus- Ultrasound
Unit)
The incidence of fetal macrosomia and its associated
risks for mother and child have increased continuously in recent
years. Typical risks include a prolonged second stage of labor,
serious maternal trauma after vaginal and surgical delivery,
increased postpartum hemorrhage, and shoulder dystocia with
brachial plexus paralysis and clavicular fracture (Kramer et al,
2002).
Relative to all births, the risk of shoulder dystocia is
0.2%. With a birth weight (BW) of 4000–4500 g and above
4500 g, the risk increases to 5% and 30%, respectively.
Therefore, recognition of macrosomic fetuses as such is not the
only matter of interest. To ensure that the obstetric management
associated with the lowest possible risk can be chosen, prenatal
weight estimation needs to be as accurate as possible (Hart et
al., 2010).
A history of macrosomia can influence future
pregnancies. Women who previously delivered a macrosomic
fetus are 5-10 times more likely than women without such a
history to deliver a baby considered large for gestational age the
next time they become pregnant, A previous macrosomic baby
is a strong risk factor for high birthweight, probably reflecting
both genetic and environmental factors (Boulet et al., 2003).